Individual provider Active NPI

Ioanna Kanellitsas, MD

  • Obstetrics & Gynecology Physician
  • Bryan, OH
National Provider Identifier
1932282738
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD451406 Issued in PA
Practice address
433 W High St
Bryan, OH 43506-1690
Phone
(419) 633-0755
Fax
(419) 633-0758
NPI assigned
Oct 23, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C1-0028672 DE
Obstetrics & Gynecology Physician 207V00000X MD451406 PA Primary
Obstetrics & Gynecology Physician 207V00000X 35.077266 OH

Addresses

Primary practice location

433 W High St
Bryan, OH 43506-1690

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-6172

Other identifiers 2

IdentifierTypeStateIssuer
353894OtherPAMEDICARE PTAN- INDIVIDUAL
102920926MedicaidPA

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address ikanellitsas682615@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070712000806 OH Practitioner - Obstetrics/Gynecology 2769582261 Reassigns benefits to 1 organization
I20140722000671 PA Practitioner - Obstetrics/Gynecology 2769582261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Community Health Associates, Inc.Group PAC ID 0941114250, 100 clinicians

Practice addresses (Care Compare)

433 W High St
Bryan, OH 43506-1690
Phone (419) 630-2028

442 W High St
Bryan, OH 43506-1681
Phone (260) 266-8210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0028672DEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group Inc. Obstetrics & Gynecology CurrentSince Dec 24, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 17, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 24, 2019 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Aug 30, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 17, 2023 Accepting new patients
Steward Medical Group Inc. Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Aug 30, 2025 Accepting new patients
Dubois Regional Medical Center PastSince May 17, 2014 Accepting new patients
Knox Community Hospital Past Accepting new patients
Summit Healthcare Association Past Accepting new patients
Knox Community Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Center for Progressive Women's Health Care Inc Obstetrics & Gynecology PastSince Feb 3, 2003 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients

Locations

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203

2435 Garden Way
Sharon, PA 16148
Phone (724) 346-6425

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: ikanellitsas682615@direct.parkviewexchange.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1932282738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-6172",
            "fax_number": "814-371-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061690",
            "telephone_number": "419-633-0755",
            "fax_number": "419-633-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANELLITSAS",
        "first_name": "IOANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C1-0028672",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD451406",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.077266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN- INDIVIDUAL",
            "identifier": "353894",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102920926",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "433 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ikanellitsas682615@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "433 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "433 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

Verify at the official NPI Registry.